Institution : College of dentistry Academic Department: Department of Maxillofacial Surgery & Diagnostic Sciences Program BDS Course: Clinical Oral Surgery I (313 MDS) Course Coordinator : Maher Aboelgheit Program Coordinator: Abdul Rahman Al Atram Course Specification Approved Date : 16/ 3 / 1437 H
A. Course Identification and General Information 1 - Course title : Clinical Oral Surgery I Course Code: 313 MDS 2. Credit hours : 4 hours 3 - Program(s) in which the course is offered: Dentistry 4 Course Language : English 5 - Name of faculty member responsible for the course: Maher Aboelgheit 6 - Level/year at which this course is offered : 3 rd year 7 - Pre-requisites for this course (if any) : 213 MDS 8 - Co-requisites for this course (if any) : 9 - Location if not on main campus : (Al Zulfi) 10 - Mode of Instruction (mark all that apply) A - Traditional classroom What percentage? 30 % B - Blended (traditional and online) What percentage? 10 % D - e-learning What percentage? 5 % E - Correspondence What percentage? F - Other What percentage? 55 % Comments :. Using smart board, attractive Audio-visual Aids and practical demonstration B) Objectives: What is the main purpose for this course? This course is an introduction to diagnosis and treatment of minor oral surgery cases. The students get to practice clinically application of local anesthesia and perform minor oral surgical procedures that are essential for the general practitioner such as simple extraction and harvesting biopsy from oral lesions. The principles of diagnosing and management of severe oral infections, Diagnosis and management of medically compromised and medical emergency in dentistry, maxillary sinus problems, salivary gland diseases, TMJ disorders, dental implant are also discussed in this course. Briefly describe any plans for developing and improving the course that are being implemented : Revision of all courses of the college related to oral and maxillofacial surgery, to avoid repeating any topics to save time to other new topics or give time to the already existing topics to be teach in more details to the students. Page 2 Of 12
C. Course Description 1. Topics to be Covered List of Topics 1st Semester Infection Control in Surgical Practice Introduction Terminology and Concepts Sterilization and Disinfection Surgical Staff Preparation Clean versus sterile Technique Sharps Management Preoperative health status evaluation History and Physical Examinations Common Health Conditions Routine Review of Maxillofacial Regions,Cardiovascular and Respiratory Systems (ASA)Classification General Anxiety-Reduction Protocol Revision on LA techniques (part 1 ) Definition General L.A injection considerations Types of L.A injection procedures Revision on LA techniques (part 2 ) Maxillary anaesthesia Mandible anaesthesia L.A complications Revision on exodontia techniques ( part 1) Indication and contraindication for exodontia Clinical evaluation of teeth for removal Radiographic examination of teeth for removal Patient and dentist position Forceps and elevator extraction Revision on exodontia techniques ( part 2) Modification for extraction of 1ry teeth Definition, Indication and contraindication of surgical extraction Steps of extraction of complicated teeth and roots Post extraction instructions and care of socket Management of Medically Compromised Patients ( part 1 ) Angina pectoris patient Myocardial infarction Congestive heart failure Hypertension No. of Weeks Contact Hours 1 1 2 1 3 1 4 1 5 1 6 1 7 1 Page 3 Of 12
Coagulopathy Asthma COPD 1 st Midterm Exam 8 Management of Medically Compromised Patients ( part 2 ) Renal disease Hepatic problem Diabetes Adrenal suppression 9 1 Hyperthyroidism Seizure Pregnancy Wound Repair Causes of tissue damage Stages of Wound Healing Factors That Impair Wound Healing 10 1 Types of Healing Healing of Extraction Sockets Principles of Surgery ( Part 1 ) Introduction Incisions Surgical flap 11 1 Tissue handling and hemostasis Dead space and edema control Decontamination and debridement Principles of Surgery ( Part 2 ) Types of flaps Types of suturing materials and packing 12 1 Types of needle Types of common suturing techniques Instrumentation for Basic Oral Surgery (part 1) Instruments used in Incising tissue and elevating the mucoperiosteum Retracting and grasping soft tissue 13 1 Controlling hemorrhage Removing bone Removing soft tissue from bony cavities Instrumentation for Basic Oral Surgery (part 2) Instruments used in : Suturing soft tissue Holding the mouth open Suctioning Holding towels and drapes in position Irrigation Exodontia 14 1 Page 4 Of 12
2 nd Semester Principles of Differential Diagnosis and Biopsy History and clinical examination of lesion Biopsy definition Indication of biopsy 15 1 Types and technique of biopsy Final diagnosis Principles of endodontic surgery Definition Indication and contraindication Surgical technique 16 1 Root end filling materials Complications Medical Emergencies in Dental Clinic ( part 1 ) Introduction patient medical history 17 1 determination of medical risk Emergency drug box and equipment Medical Emergencies in Dental Clinic ( part 2 ) Vasovagal syncope Anaphylactic shock Seizure 18 1 Stroke Diabetic emergency Adrenal insufficiency Medical Emergencies in Dental Clinic ( part 3 ) Hyperventilation Acute asthma Choking and aspiration 19 1 Hypertensive crisis Angina / Myocardial infarction cardiac arrest Odontogenic diseases of the maxillary sinus I Embryology and anatomy Clinical examination of the maxillary sinus Radiographic examination of the maxillary sinus 20 1 Non-odontogenic infections of maxillary sinus Odontogenic infections of the maxillary sinus Odontogenic diseases of the maxillary sinus II Treatment of maxillary sinusitis Antral pseudocysts Complications of oral surgery involving maxillary sinus 21 1 Oroantral Communications Oroantral Fistulae 2 nd Midterm Exam 22 Page 5 Of 12
Principles of Management and Prevention of Odontogenic Infections.( part 1) Introduction Causes and types of infection Spread of infection Phases and fate of infection Diagnosis of infection General management of patient with infection Principles of Management and Prevention of Odontogenic Infections.( part 2) Common infection in the mouth Fascial spaces infection( Anatomy, Etiology, Clinical Presentation and Treatment ) Principles of Management and Prevention of Odontogenic Infections.( part 3) Ludwig's angina Osteomyelitis Chronic infection of jaws Diagnosis and management of salivary gland disorders Embryology, anatomy and physiology of salivary glands Diagnostic modalities of salivary glands Salivary gland swellings Sialolithiasis Traumatic salivary gland injuries Complications of salivary gland surgery Dental Implants ( part 1 ) Introduction Types of dental implant Indication and contraindication Classification of dental implants Basic components Dental Implants ( part 2 ) Osseointegration Requirements of successful implant Treatment planning Failure of dental implant TMJ disorder Anatomy of the temporomandibular joint Evaluation of TMJ Classification of TMJ Disorders TMJ problems treatment TMJ surgery 23 1 24 1 25 1 26 1 27 1 28 1 29 1 Page 6 Of 12
2. Course components (total contact hours and credits per semester): Lecture Tutorial Laboratory Practical Other: Total Contact Hours 1st semester 2nd semester 14...... 42... 56 14 42 56 1st semester 1 1 2 Credit 2nd semester 1...... 1... 2 3. Additional private study/learning hours expected for students per week. 2 4. Course Learning Outcomes in NQF Domains of Learning and Alignment with Assessment Methods and Teaching Strategy NQF Learning Domains And Course Learning Outcomes 1.0 Knowledge 1.1 Know how to give administer local anesthesia. 1.2 Know how to extract teeth under local anesthesia. 1.3 Gain knowledge about management of medically compromised patient during oral surgery and how to deal with different medical emergencies in dental clinic. Course Teaching Strategies Lectures, textbook, articles, discussion, audiovisual, live demonstration & clinical exposure Lectures, textbook, articles, discussion, audiovisual, live demonstration & clinical exposure Lectures, textbook, articles, discussion, audiovisual, live demonstration & clinical exposure Course Assessment Methods MCQs exams, short assay exams & quizzes. MCQs exams, short assay exams & quizzes. MCQs exams, short assay exams & quizzes. Page 7 Of 12
NQF Learning Domains And Course Learning Outcomes 1.4 Gain knowledge about how to manage maxillary sinus diseases. 1.5 Understand the role of oral surgeon in management of oral and maxillofacial infections. 1.6 Describe and understand management of salivary gland and TMJ problems. 2.0 Cognitive Skills 2.1 Students will be able to select and use appropriate dental extraction instruments. 2.2 Students will be able to apply a critical thinking to suggest the differential diagnosis of various oral surgical problems 2.3 Students will be able to perform treatment plan for patient need dental extraction of various types of teeth which are indicated for extraction. 2.4 Student should be able to deal with dental extraction cases with different medical problems. Course Teaching Strategies Lectures, textbook, articles, discussion, audiovisual, live demonstration & clinical exposure Lectures, textbook, articles, discussion, audiovisual, live demonstration & clinical exposure Lectures, textbook, articles, discussion, audiovisual, live demonstration & clinical exposure Textbooks, websites, seminars & clinical demonstrations. Textbooks, websites, seminars & clinical demonstrations. Textbooks, websites, seminars & clinical demonstrations. Textbooks, websites, seminars & clinical demonstrations. 3.0 Interpersonal Skills & Responsibility 3.1 Students will work in groups of two, dentist Eye to eye contacts and and assistant. group works. 3.2 Students will do group projects, presentations and research. Group works and presentations. Course Assessment Methods MCQs exams, short assay exams & quizzes. MCQs exams, short assay exams & quizzes. MCQs exams, short assay exams & quizzes. Written exam and oral quizzes, questioning, review test & performance notice. Written exam and oral quizzes, questioning, review test & performance notice. Written exam and oral quizzes, questioning, review test & performance notice. Written exam and oral quizzes, questioning, review test & performance notice. Group discussions and clinical observation Group discussions and presentation evaluation. Page 8 Of 12
NQF Learning Domains And Course Learning Outcomes Course Teaching Strategies 4.0 Communication, Information Technology, Numerical 4.1 Consent forms, subjective examination, and explanation of treatment plan to the patients. 4.2 Communication with each other and with the teaching stuff. Using attractive Audiovisual Aids. Justifications and brief descriptions Using attractive Audiovisual Aids. Justifications and brief descriptions 4.3 Using computer patient file recording. Using attractive Audiovisual Aids. Justifications and brief descriptions 5.0 Psychomotor 5.1 Take medical history for oral surgery patient. 5.2 Use the skills of local anaesthesia administration with different techniques. 5.3 Use different surgical extraction instruments. Demonstration and supervision. Demonstration and supervision. Demonstration and supervision. 5.4 Deal with patient during dental extraction. Demonstration and supervision. 5.5 Develop skills to extract remaining roots and carious teeth. 5.6 Assist in minor surgical operations and perform local intraoral flaps. Demonstration and supervision. Demonstration and supervision. Course Assessment Methods Clinical observation, Clinical observation, Clinical observation, Case presentation, treatment plan, clinical observation, Case presentation, treatment plan, clinical observation, Case presentation, treatment plan, clinical observation, Case presentation, treatment plan, clinical observation, Case presentation, treatment plan, clinical observation, Case presentation, treatment plan, clinical observation, Page 9 Of 12
5. Schedule of Assessment Tasks for Students During the Semester: 1 2 Assessment task Week Due Proportion of Total Assessment Midterm exam 6 15% Clinical assessment During 1st and 2nd semester 25% 3 Behavior and attitude During 1st and 2nd semester 5% 4 Research 3 2% 5 Quiz During 1st and 2nd semester 2% 6 Presentation 7-8 1% 7 Oral clinical exam 9 10% 8 Final clinical exam 15 10% 9 Final written exam 16 30% 10 Total 100% D. Student Academic Counseling and Support Students are supported by academic guidance during office hours and provide them with guidance and advice, as well as scientific knowledge of students' problems and how to solve it. E. Learning Resources 1. List Required Textbooks : Contemporary oral and maxillofacial surgery 6th edition Local anaesthesia handbook by malamed, 6th edition 2. List Essential References Materials : Contemporary oral and maxillofacial surgery 6th edition Oral surgery by fragiskos,1st edition Local anaesthesia handbook by malamed, 6th edition 3. List Recommended Textbooks and Reference Material : Oral surgery by fragiskos,1st edition Textbook of general and oral surgery Page 10 Of 12
4. List Electronic Materials : www.pubmed.com. Majma,ah university site (mu.edu.sa) 5. Other learning material : F. Facilities Required 1. Accommodation A class room with a seating capacity of 20 students, equipped with a projector and smart board. A well-equipped dental clinics to work with patients under supervision. 2. Computing resources Computer classroom. Internet connection. 3. Other resources Practical demonstration Equipped dental units. Surgical instruments for clinical sessions. G Course Evaluation and Improvement Processes 1 Strategies for Obtaining Student Feedback on Effectiveness of Teaching: Make questionnaires. Perform theoretical examination. Make seminars. 2 Other Strategies for Evaluation of Teaching by the Program/Department Instructor : Assess the teacher's abilities and potentials by observations and assistance from colleagues, independent assessment of standards achieved by students, independent advice on assignment tasks. 3 Processes for Improvement of Teaching : Updating the educational process, involving in research Teachers will be subjected to go for up gradation of knowledge by attending the relevant conferences and will be encouraged to carry on a self-improvement. Page 11 Of 12
4. Processes for Verifying Standards of Student Achievement Make quiz, midterm and final examinations. Make clinical evaluation to assess the student skill progress. Perform a questionnaire to evaluate the student's experience. 5 Describe the planning arrangements for periodically reviewing course effectiveness and planning for improvement : Prepare work sheet for review; refresh the previous knowledge, and panel discussions. Course Specification Approved Department Official Meeting No ( 1 ) Date 17 / 11 / 1436 H Course s Coordinator Department Head Name : Maher Aboelgheit Name : Mouetaz Kheirallah Signature :... Signature : Date : 16/ 11 / 1436 H Date : 17/ 11 / 1436 H Page 12 Of 12